Provider Demographics
NPI:1891891180
Name:AL-OKK, HAITHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HAITHAM
Middle Name:
Last Name:AL-OKK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1038
Mailing Address - Country:US
Mailing Address - Phone:812-885-6565
Mailing Address - Fax:812-885-6566
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-885-6565
Practice Address - Fax:812-885-6566
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38977207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY38977OtherLICENSE
KY64082639Medicaid
KY64082639Medicaid
KY1307433Medicare PIN
KY38977OtherLICENSE